1.Successful Management of Potential Non-Heart-Beating Donor with Extracorporeal Membrane Oxygenation: A Case Report.
Young Hwan KIM ; Gui Yun SOHN ; Yooun Joong JUNG ; Kyu Hyouck KYOUNG ; Suk Kyung HONG
The Korean Journal of Critical Care Medicine 2012;27(4):279-282
Hemodynamics of a brain-dead donor can change rapidly during management. It frequently leads to loss of the donor or deterioration of organ functions. Various efforts have been made not to lose potential donors. Extracorporeal membrane oxygenation (ECMO) and non-heart-beating donation (NHBD) are good examples of such efforts. A 47 year-old woman with a history of hypertension, diabetes mellitus and atrial fibrillation was diagnosed with cerebral infarction and hemorrhage. Cardiopulmonary resuscitation was performed three times before transfer to our hospital. Her family agreed to organ donation. ECMO was applied due to her unstable vital signs, which made the first declaration of brain death possible. However, considering the deteriorating vital signs and expected cardiac arrest, it was decided to switch to NHBD under the family's consent. All life-support devices including ECMO were turned off in the operation room. After cardiac death was declared, the harvesting of liver and kidneys was performed with perfusion through an ECMO catheter. The liver and kidneys were successfully transplanted to three recipients.
Atrial Fibrillation
;
Brain Death
;
Cardiopulmonary Resuscitation
;
Catheters
;
Cerebral Infarction
;
Death
;
Diabetes Mellitus
;
Extracorporeal Membrane Oxygenation
;
Female
;
Heart Arrest
;
Hemodynamics
;
Hemorrhage
;
Humans
;
Hypertension
;
Kidney
;
Liver
;
Membranes
;
Perfusion
;
Tissue and Organ Procurement
;
Tissue Donors
;
Transplants
;
Vital Signs
2.A Case of Cryptococcal Osteomyelitis with Paraspinal Abscess.
Ryan OH ; Eun Hee SONG ; Ki Ho PARK ; Oh Hyun CHO ; Tark KIM ; Gui Jun YUN ; Byeong Seok SOHN ; Heungsup SUNG ; Mi Na KIM ; Yang Soo KIM ; Jun Hee WOO
Infection and Chemotherapy 2008;40(5):284-287
Cryptococcosis is a disseminated infection caused by Cryptococcus neoformans. It usually causes pulmonary infection and meningitis in immunocompromised patients. However, osteomyelitis due to C. neoformans is extremely rare. It is generally known that cryptococcal osteomyelitis is a complication of disseminated cryptococcosis, appearing in 5-10%. We experienced a case of cryptococcal osteomyelitis with paraspinal abscess in a liver transplant patient.
Abscess
;
Cryptococcosis
;
Cryptococcus neoformans
;
Humans
;
Immunocompromised Host
;
Liver
;
Meningitis
;
Osteomyelitis
;
Transplants
3.A Case of Cryptococcal Osteomyelitis with Paraspinal Abscess.
Ryan OH ; Eun Hee SONG ; Ki Ho PARK ; Oh Hyun CHO ; Tark KIM ; Gui Jun YUN ; Byeong Seok SOHN ; Heungsup SUNG ; Mi Na KIM ; Yang Soo KIM ; Jun Hee WOO
Infection and Chemotherapy 2008;40(5):284-287
Cryptococcosis is a disseminated infection caused by Cryptococcus neoformans. It usually causes pulmonary infection and meningitis in immunocompromised patients. However, osteomyelitis due to C. neoformans is extremely rare. It is generally known that cryptococcal osteomyelitis is a complication of disseminated cryptococcosis, appearing in 5-10%. We experienced a case of cryptococcal osteomyelitis with paraspinal abscess in a liver transplant patient.
Abscess
;
Cryptococcosis
;
Cryptococcus neoformans
;
Humans
;
Immunocompromised Host
;
Liver
;
Meningitis
;
Osteomyelitis
;
Transplants